Sales are sizzling for fitting patients with astigmatisms. Here’s how to make them a better fit for your patients—and your practice.

In the past, people with astigmatism were steered toward eyeglasses. But today, contact lenses also offer easy and effective vision correction. Patience is required. Just as every person is unique, so is every astigmatism, and one size does not fit all. Advise your astigmats that they may be trying on a lot of contact lenses, but the time invested will be worth it.

The “error” in the trial and error is usually in stability. Today’s advanced lens designs help minimize rotation to provide that stability. Here are the latest “off-the-shelf” options.

DAILIES AquaComfort Plus Toric contact lenses offer a daily disposable for astigmats. The lens features Blink-Activated Moisture Technology for wettability and tear film stability. Its Precision Curve Lens Design provides visual acuity, and the lenses’ dual thin zones utilize blinking pressure of the lids to maintain rotational stability. Available in +4.00D to -6.00D (0.25D steps) and -6.50D to -8.00D (.50D steps) with -0.75D, -1.25D and -1.75D add powers. Axis is 10/20/70/80/90/100/110/160/170/180.

AIR OPTIX for Astigmatism provides patients with a monthly lens replacement option. The lens is available in powers of +6.00D to -6.00D (0.25D steps) or -6.50D to -10.00D (0.50D steps) with -0.75D, -1,25D, -1.75D and -2.25D add powers; and axis is full circle in 10° steps. Alcon’s SmartShield Technology smooths and protects the lens to retain moisture and resist deposits, and its unique, Precision Balance 8|4 lens design is engineered to work with the eye’s blinking mechanism to stabilize the lens.

Bausch + Lomb ULTRA for Astigmatism is a monthly lens approved for daily and extended wear for up to seven days. The lens features MoistureSeal Technology that helps maintain 95% of lens moisture for a full 16 hours. Its OpticAlign Design provides stability, has an orientation mark to aid insertion and features spherical aberration control optimized in both axes to help reduce halos and glare. It is indicated for myopia or hyperopia with astigmatism up to 5.00D. It is available in +6.00D to -6.00D in 0.25D steps; -6.50D to -12.00D in 0.50D steps with cylinder powers -0.75D, -1.25D, -1.75D, -2.25D and -2.75D and Axis 10° to 180° in 10°. Bausch + Lomb ULTRA Multifocal for Astigmatism will be available mid-2019.

“Always begin exams by exploring why the patient may not be wearing lenses or how they feel in their current lenses, using their response as a way to inform them of new options.” —Mile Brujic, OD

Biotrue ONEday for Astigmatism is a daily disposable. Its patented dehydration barrier allows the lens to maintain nearly 100% of its moisture for 16 hours. It has a peri-ballast design, a tapered edge to limit lid interaction and, like the ULTRA, has spherical aberration control to help reduce halos and glare. Available in +4.00D to -6.00D in 0.25D steps -6.50D to -9.00D in 0.5D steps with cylinder powers -0.75D, -1.25D, -1.75D (and additional parameters in a -2.25D cylinder), and a 0 to 180° axis.

Biofinity toric is a silicone hydrogel lens that can be worn as a daily wear lens or up to seven days in a row with a monthly replacement. Its Optimized Toric Lens Geometry is designed to reduce lens movement when blinking and provide more comfort. Its uniform horizontal ISO thickness and wide ballast quickly orient the lens. Aquaform Technology provides wettability and breathability with no additives. It is available in the following powers: +8.00D to -10.00D (0.50D steps after +/-6.00D) and +10.00D to +8.50D (0.50D steps) with cylinder powers -0.75D, -1.25D, -1.75D, -2.25D; and +10.00D to -10.00D (0.50D steps after +/- 6.00D) with cylinder powers -2.75D, -3.25D, -3.75D, -4.25D, -4.75D, -5.25D and -5.75D.

“It’s so easy to fit patients with this lens. It has great stability, and I would encourage all practitioners to try fitting this lens.” – Rebecca Nally, OD

The MyDay toric offers the same lens design features as Biofinity and pairs it with Smart Silicone for a comfortable daily disposable lens. Smart Silicone chemistry transports oxygen so efficiently that it requires less raw silicon (only 4.4% content), leaving more space for hydrophilic material. Available in plano to -10.00D (0.50D steps after -6.00D) and +0.50D to +6.00D (0.50D steps) with cylinder powers -0.75D, -1.25D, -1.75D and -2.25D.
Another silicone hydrogel lens from CooperVision with a wide parameter range (1,590 power combinations) is the clariti 1 day toric. It allows 100% corneal oxygen consumption. The daily replacement schedule, lens material and UVA/UVB protection provide healthier lens.

Johnson & Johnson Vision’s ACUVUE Brand Contact Lenses for ASTIGMATISM offer a portfolio of toric lenses with common features in a variety of modalities. All of ACUVUE’s toric lenses feature proprietary BLINK-STABILIZED Design, which utilizes four stabilization zones within the lens that work naturally with the eyelids and harness the power of the blink to help keep the lens in the correct position during head tilts, blinks and eye movements. It is the only brand to offer UV blocking across its entire product line for astigmatism.

“DO (or don’t be scared/hesitant to) fit the same amount of cylinder in contacts as you would give the patient in their spectacle prescription (with the correct vertex distance, of course!)” —Charissa Lee, OD

The two-week ACUVUE OASYS for ASTIGMATISM has the widest range of stock parameters, covering nearly 99% of spherical and astigmatic eyes, including -2.75D in-stock availability. Its HYDRACLEAR PLUS Technology and EYE-INSPIRED Design help maintain a stable tear film and provide comfortable and clear vision all day long. The lens offers around-the-clock coverage in +4.00D to -6.00D (0.25D steps), -6.50D to -9.00D (0.50D steps) and +4.25D to +6.00D (0.50D steps) and cylinders -0.75D, -1.25D, -1.75D, -2.25D and -2.75D.

A non-coated silicone hydrogel formulation, ACUVUE VITA for ASTIGMATISM with HydraMax, is balanced to help maximize and maintain hydration throughout the lens, resulting in a full month of comfort for patients. It offers coverage for nearly 96% of spherical and astigmatic eyes: +4.00D to -6.00D (0.25D steps) and -6.50D to -9.00D (0.50D steps) and cylinders -0.75D, -1.25D, -1.75D and -2.25D.

ACUVUE’s portfolio of daily disposable contact lenses also offer a wide parameter coverage, covering nearly 96% of spherical and astigmatic eyes.

ACUVUE OASYS 1-Day with HydraLuxe Technology is a daily disposable lens for patients who demand high performance and want a daily that keeps up with their busy life.

1-Day ACUVUE MOIST for ASTIGMATISM is a great lens for those looking to move into a daily. Featuring the proprietary LACREON technology, the lens is embedded with a wetting agent for all-day moisture.

Both of these lenses are available in +4.00D to -6.00D (0.25D steps) and -6.50D to -9.00D (0.50D steps) and cylinders -0.75D, -1.25D, -1.75D and -2.25D.

Alcon Laboratories
800.451.3937 |
Bausch + Lomb
800.828.9030 |
CooperVision, Inc.
800.341.2020 |
Johnson & Johnson Vision Care, Inc.
800.843.2020 |


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